Study highlights sleep challenges in psoriatic arthritis patients

Insomnia, or sleep disturbance, is very common.about 1 in 3 adults They experience symptoms of insomnia, and approximately 10% have chronic sleep disorders that meet the criteria for insomnia. Multiple factors contribute to insomnia. Stress, Dietary Factors, and Irregular Sleep Schedulesphysiological pain, mental health conditions such as depression and anxiety, and side effects of medications.

For patients with psoriatic arthritis (PsA), some of these issues may overlap, which may explain the higher prevalence of sleep disorders within this group. According to a recent study published in Journal of Rheumatology, Between 30% and 85% of PsA patients report sleep disturbances.

This study included a review and meta-analysis, examining 36 previous studies, Pittsburgh Sleep Quality Index (PSQI).

The PSQI relies on patients self-reporting their sleep habits and challenges. This includes questions about how often you have difficulty falling asleep within 30 minutes, waking up in the middle of the night, and experiencing breathing difficulties or snoring.

An analysis of six studies using the PSQI revealed that nearly 73 percent of people with PsA had poor sleep quality, including trouble sleeping at night and waking up in the morning feeling unrested.

Understanding Insomnia and Psoriatic Arthritis

One of these studies found that obstructive sleep apnea is common in PsA patients, and PsA patients are more likely to report sleep disturbances. Sleep apnea occurs when the airway narrows during sleep and breathing stops for 10 to 30 seconds at a time. Your partner may hear loud snoring while pausing. This cycle repeats itself hundreds of times a night, depriving the brain of oxygen and resulting in extreme fatigue during the day. Sleep apnea can also predispose you to heart disease, diabetes, and other serious health problems.

However, it is important to note that not all PsA patients who experience sleep disturbances have sleep apnea. Physical discomfort is also an important factor. The study reported that people with sleep disorders were more likely to have higher pain scores, increased joint tenderness and swelling, higher erythrocyte sedimentation rate (ESR), and elevated levels of inflammation. .

It is well known that people with pain-related symptoms often have trouble sleeping. Pain tends to be more pronounced at night when distractions are minimal. moreover, Inflammatory chemicals can build up in joint fluid While you sleep, cortisol (which helps fight inflammation) usually drops at night.

On the other hand, certain arthritis medications, such as: corticosteroid, may interfere with sleep, but other drugs commonly used for PsA are more likely to help patients get better rest. The study found that people using tumor necrosis factor (TNF) inhibitors or Janus kinase (JAK) inhibitors were less likely to experience insomnia.

What this study found is that anxiety and depression It was also more common among people with sleep disorders.

what this means for you

If you are having trouble sleeping, we recommend that you consult your doctor. It helps identify potential causes and provide appropriate solutions such as home remedies. For example, if PsA is affecting your fingers: compression gloves Doing it while you sleep may help. Additionally, trying different pillows and adjustable mattresses may help reduce neck and back discomfort that interferes with sleep. By taking steps to address sleep problems, you can improve your overall health and well-being.

Become a more proactive patient with ArthritisPower

ArthritisPower is a patient-led, patient-centered research registry for joint, bone and inflammatory skin diseases. You can participate in independent research studies about your health and use the app to track your symptoms, disease activity and medications and share it with your doctor. For more information, please register here.

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